Individual
MATTHEW DAVID STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
610 CHESTNUT ST, SOUTH CHARLESTON, WV 25309-1251
(304) 766-7515
(304) 766-7566
Mailing address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 414-4800
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0102-203771
VA
207X00000X
Orthopaedic Surgery Physician
Primary
2970
WV
Other
Enumeration date
03/24/2009
Last updated
01/04/2022
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